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Individual
DR. MARYJANE L. MONTALTO
Active
Individual
DR. MARYJANE L. MONTALTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015561-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
015561-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015561-1
NY
103TF0200X
Forensic Psychologist
015561-1
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
015561-1
NY
103TR0400X
Rehabilitation Psychologist
015561-1
NY
Other
Enumeration date
06/29/2006
Last updated
05/22/2009
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